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ERICE '99 - International School of Liquid Crystals: 3rd Course

MOLECULAR PHYSICS OF LIQUID CRYSTALS: RECOLLECTIONS AND PERSPECTIVES

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APPLICATION FORM

 

Surname.....................................................................

Name........................................................................

Date and place of birth.....................................................

Present nationality.........................................................

Degree and other academics qualifications...................................

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Present position and place of work..........................................

Address.....................................................................

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Zip.................. City..................................................

Country.....................................................................

Tel..............................Fax........................................

E-mail......................................................................

Current research interests..................................................

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I will be able to participate in the meeting

yes [ ] no [ ] not sure but please keep me informed [ ]

 

I am willing to present a contribution:

yes [ ] : oral [ ] poster [ ]

no [ ]

on the area.................................................................

preliminary title/authors ..................................................

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